Most Relevant Information
Provider Data
| NPI Number: | 1003292855 |
| Provider Name: | NEENA LEE KOVALCHIK NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704239926 |
Most Important Dates
| Enumeration Date: | 08/04/2015 |
| Last Updated: | 08/04/2015 |
Provider Practice Location
1200 EAST MICHIGAN AVENUE
LANSING
MI
48912
Practice Location Phone/Fax
| Phone: | 5173645137 |
| Fax: | 5173645997 |
Provider Mailing Location
6531 W. GRAND LEDGE HWY.
SUNFIELD
MI
48890
Provider Mailing Phone/Fax
| Phone: | 5172144980 |
| Fax: |